Jekielek, Susan Anne
Jekielek, Susan Anne is an individual health care provider with primary practice located at 4302 Allen Rd Suite 400, Stow OH 44224-1032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jekielek, Susan Anne can be contacted via phone (330) 344-3000.Contact Information
Primary practice address
4302 Allen Rd Suite 400
Stow OH 44224-1032
Phone: (330) 344-3000
Fax: (330) 920-6237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35069999 | Ohio |
Profile Details
| NPI number | 1922009414 |
|---|---|
| LBN Legal business name | Jekielek, Susan Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Feb 3rd, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922009414 | NPPES |
| Ohio | MEDICAID | 2041552 | |
| Ohio | Other | 080145152 |
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